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Search › Oklahoma › 175T00000X

Nathaniel Moore

NPI 1710733613 · on the registry since 2024

Practice

Address
405 E Excelsior Ave
Vinita, OK 74301
Phone
(918) 273-1841
Fax
(918) 273-1843
Organisation at this address
Odmhsas
Grand Mental Health
Grand Lake Mental Health Center Inc.
Grand Lake Mental Health Center, Inc.
Grand Lake Mental Health Center, Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
252

Registry record

Primary taxonomy
175T00000X
175T00000X
Sex
Male
Record last updated
2026-06-02

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oklahoma